Patient Access Representative - Westwood - - 21912 - UCLA Health

General Information

Work Location: Los Angeles, USA

Onsite or Remote

Fully On-Site

Work Schedule

Varied shift, with rotating weekend and holidays

Posted Date

01/28/2025

Salary Range: $27.06 - 35.7 Hourly

Employment Type

2 - Staff: Career

Duration

Indefinite

Job #

21827

Primary Duties and Responsibilities

As the Patient Access Representative, you will be responsible for:

• Pre-registers, pre-admits, and admits patients by telephone and/or in person

• Collection of accurate demographic information, review and interpretation of insurance benefits

• Obtaining prior authorizations, cash collections, interaction with public assistance programs (i.e. Medi-Cal, CCS)

• Implementation of Medicare requirements, interaction with physicians/office personnel as well as other hospital personnel (i.e., SDA, OPSU, nursing units)

• Referral of appropriate cases to other internal and external sources to assist patients with discharge/post-hospital care

• Interacting with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely reimbursement

Salary Range: $27.06/hour - $35.70/hour

Job Qualifications

We’re seeking an exceptional, self-directed professional with:

• Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out-of-state Medicaid, or other sponsoring agencies

• Knowledge in the functional operations of third party payers and utilization review agencies to expeditiously coordinate follow-up

• Working knowledge of third party payer verification terminology

• Working knowledge of medical terminology to sufficiently identify various procedures to obtain optimum benefit information and

• Ability to accurately and completely process payments and cash receipts

• Ability to write concise, grammatically correct reports and correspondence

• Ability to type 55 words per minute (WPM)

• Proficient in basic math

• Proficient in Microsoft Office Suite, specifically Excel, Word, and Outlook

Note: May be subject to test on qualifying skills

As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.